Role of Nurses in Health Promotion

Public health nurses are a link between the government and the population concerning public health. With children, young people, and families as their main target groups, PHNs can contribute to changing and improving the quality of life and reducing inequality in the population. The concept of public health, which can be understood as “collective action for sustained population-wide health improvement”, has traditionally had a narrow view of public health. This biomedical disease model is based on a pathogen-risk focus, with attention given to problem-solving strategies.

Local communities are considered as arenas for health promotion. The population can be divided into two groups: a population-at-risk group, with a focus on disease prevention; and a population-of-interest group, with an emphasis on health-promotion strategies. This form of thinking was recognized in the former regulations for public health nursing and in the successor, a recent national professional directive for health promotion and disease-prevention work in public health nursing. It highlights the goals of PHNs’ work in child health clinics and school health services: to promote mental & physical health, good social & environmental conditions, and to prevent disease & injury.

As early as possible, the service shall screen children and young people, conduct an assessment, and make a referral if needed. This universal service shall target both individuals and the population. PHNs’ social mandate with an increased emphasis on population-based work and particularly health-promotion strategies, such as empowerment stimulated by meeting with service users in an open and respectful way and engaging in dialogue, thereby revealing their own resources has become more complex. However, a review of the international literature shows that nurses often misunderstand the concept of health promotion.

Their focus has been on changing individual behaviors; meanwhile, the population focus has been somewhat ignored. The role of expert as the traditional nursing position is a view shared not only by patients and service users but also by PHNs. The more complex PHN role may still be unclear and, thus, hard to manage and define. Drawing clear jurisdictional boundaries with other professions is of importance in establishing an autonomous profession; however, these professional borders can be renegotiated which might be the current case in public health nursing.

Pain Killer Shortage Hits US

US care facilities have run out of pain medication!

That startling situation is really happening now in hospitals across the United States. As of May 2018, 9 out of 10 emergency room doctors studied said that they didn't have access to the "basic" medications that they are expected to treat patients with.

For instance of exactly how desperate the circumstance is, the New York Times revealed that one hospital in Chicago has been out of morphine, a medication generally utilized for pain, since March. That is a staggering five months without a medication that is utilized each and every day in many hospitals for even minor cases. Likewise on the rundown of medications that have gradually disappeared with no desire for substitution are diltiazem, a medication utilized as a part of cardiac care, and painkillers. The FDA's website has a consistently refreshed rundown of medication deficiencies, which right now incorporate everything from sodium chloride injections to heparin and dopamine blends. Healthcare providers have been stated as saying that they presently need to empty off 900ml out of a 1,000ml pack with the aim to mix infusions. 1,000 ml NS packs are the only solution that they can get their hand on at present. This is a significant issue. This info was obtained from a tweet in January by Dr Jeff Jarvis, an ER doctor in Texas. And keeping in mind that medication deficiencies are just the same old thing new, the sheer volume of the present shortages are extraordinary.

Dangerous alternatives

As an answer for the medication shortage pandemic, specialists and therapeutic care staff have been managing by either furnishing patients with alternative medications, which may pose dangerous side effects or cause obscure responses or are sometimes unable to administer the necessary medication, when patients are in a state of torment. One specialist depicted the scramble to make sense of how to treat their patients without the proper medication as blind dancing that happens with each and every patient and in each and every shift. Also, tragically, the greater part of that dancing just prompts one thing — patients not getting the care that they require.

What's driving the deficiency?

Why are hospitals coming up short on basic medications that have truly been utilized relatively consistently throughout history? The appropriate answer is evidently really intricate. For one, a significant number of the medications that the doctors have come to depend on are both difficult to make while being sold cheaply, prompting low-net revenues for the drug market. With low-profit rates, a considerable number of drug manufacturing organizations just stopped making them. Furthermore, these kinds of medications have for quite some time been made in older facilities which most organizations have quit putting resources into, prompting the plants to have issues and to be closed down. Medication manufacturing was hard hit when Hurricane Maria raged onto Puerto Rico, which has been the home to many pharmaceutical manufacturing companies. In spite of the fact that the initial emergency has been sorted out, the tempest still exposed the shortcomings of America's therapeutic network.

The pack leader of responsible organizations for this drug shortage is the drug manufacturing goliath- Pfizer, which has been hit with many warnings from the U.S. government. Pfizer is the country's single largest maker of generic injectable medications and basically, with any lull in their production rate, the whole nation is influenced. Back in February of 2018, the FDA cautioned that one of the manufacturing units at a facility in Houston was in violation of FDA policies when foreign substances sound in IV arrangement packs ended up being bits of cardboard.

An invitation to take action

The medication draught has turned out to be so extreme, that in June, the American College of Emergency Physicians (ACEP), the American Society of Anesthesiologists (ASA) and the American Academy of Ophthalmology (AAO) all issued a joint proclamation encouraging the FDA to work with government divisions keeping in mind the end goal to offer suggestions to Congress on the most proficient method to settle the medication deficiency issue. 

The medication lack is turning into an emergency in America, yet sadly, patient care cannot come to a standstill while we wait for a resolution. So as legislators and specialists work to discover an answer, we as a whole need to do our part to promote and bolster the nurses and other healthcare staff who are watching over patients directly day in and day out — even without the medication those patients require and deserve.

For more insights on nursing care join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town South Africa.`
John Hunt | Program Manager | Community Nursing 2018
Phone +44-2088190774Email: community@nursingconference.com

Suicidal Patient Handling

Mental Health nurses endeavour to disclose to individuals that as mental wellness nursing professional, the aptitudes they learn are regularly more dynamic – how to develop a helpful association with a patient, evaluation abilities and de-escalation abilities – yet they're generally left looking somewhat befuddled in the matter of what to do to handle a suicidal individual.

As the community has witnessed the death of two public figures over a span of seven days, and all of a sudden nurses were concerned about what do when a patient comes into a restorative ward saying they're thinking about suicide.

These tips are not an authoritative manual for evaluating a patient's self-destructive hazard. Be that as it may, these tips are for the general population who get themselves awkward around a self-destructive patient, who don't exactly realize what to ask, who aren't sure how they can improve the situation of their patient and how to start a conversation with the patient.

The best advice that mentors give is not to avoid the word "suicide".

There is no use beating about the bush but is advice able to come directly to the point and ask them if they are having thoughts about self-harm as a patient is more likely to give a yes or no answer to this question.

Gaining Further Information

Once the patient has affirmed their self-destructive musings, one needs to get more data about this from them.

Asking them, "to what extent have you been feeling along these lines?" or "have you at any point felt thusly previously?" gives you some setting to their low state of mind, and will ideally prompt a discussion about what set off the self-destructive contemplations, and what's happening in their life that has lead them to this point.

Validating their emotions

The dread of conversing with self-destructive patients originates from feeling like you have to settle it.

At the point when a patient comes in with a broken arm, one realizes what to improve. Be that as it may, you can't dispose of self-destructive contemplations with gauze or an IV. One needs to lighten yourself of that duty.

In the event that a patient comes to you with self-destructive considerations, you can't settle it in one discussion. What you can do is enable them to feel tuned in to, and give them the chance to discuss what's irritating them.

It is tied in with giving them a chance to talk. Basic expressions, for example, "that’s probably been very troublesome" and "sounds like you've been having a tough time" approve what the patient is feeling and give you something accommodating to state in case you're feeling ungainly or awkward.

Distinguish the protective factors

Defensive elements are parts of a patient's life that will prevent them from hurting themselves. This may be a pet that they have to take care of, or youngsters who require their parent.

To discover this data, you can inquire as to whether they have any family, who is in their group of friends, who shares home with them or how they spend their day. This will feature any interests, friends and family or objectives that will remain between a patient and their self-destructive musings.

Try not to endeavour to brighten them up

It is totally in our tendency to attempt to locate the positive in this circumstance. At the point when a patient comes to you with self-destructive ideation, it feels completely normal to reveal to them that they have a ton to live for, that things will show signs of improvement and that they have their entire future in front of them.

In any case, the patient has most likely heard this all previously, and when you're feeling self-destructive, it's hard to feel idealistic.

Telling the patient anything like this has a tendency to close down the discussions and smother their emotions – it can influence them to feel like they can't discuss what they're feeling, and that they ought to centre around the positive.

You need to make a space where it's alright for them to discuss their darkest mind-sets, in light of the fact that occasionally, that is the thing that somebody needs a large portion of all.

For more insights on nursing care join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town South Africa.`

John Hunt | Program Manager | Community Nursing 2018

Phone +44-2088190774
Email: community@nursingconference.com

Here's your top 10 Nursing videos for the month

1. Head to Toe Nursing Assessment

2. Cardiac Rhythm Interpretation

3. Glasgow Coma Scale Assessment

4. Newborn Assessment

5. Blood Transfusion and Intravenous Infusion Skills

6. Laboratory Values for NCLEX-RN Examination

7. Blood Flow Through the Heart

8. Maternal Assessment

9.Different Hoyer Lift Procedures

10. Donning Hospital Protective Equipment

For more such interesting overviews join us at the International Conference on Community Nursing and Public Health, November 19-21 2018, Cape Town, South Africa.

Submit your abstracts now at https://community.nursingconference.com/abstract-submission.php

John Hunt

Program Manager | Community Nursing 2018

Phone +44-2088190774

Email: community@nursingconference.com